Individual
JARED ANDREW WANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 NE SAM WALTON LN, LEES SUMMIT, MO 64086-8426
(816) 525-2750
Mailing address
1545 SW 41ST ST, LEES SUMMIT, MO 64082-3812
(314) 229-3792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010023017
MO
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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